Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Brandon Scott Kinneman, PA-C

Individual provider Medical Physician Assistant · NPI 1225652787

Brandon Scott Kinneman, PA-C is a Physician Assistant in Raleigh, North Carolina. Graduated from Pennsylvania State University College of Medicine in 2020, 6 years ago. Practices with Wakemed Specialists Group LLC, a 869-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
6
Trained at
Pennsylvania State University College of Medicine
Licensed in
NC
In the registry since
2020
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

3000 New Bern Ave
Raleigh, NC 27610-1231
Phone: (919) 350-8000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 4420 Lake Boone Trl, Raleigh, NC 27607-7505 — (919) 784-7093
  • 555 N Duke St, Lancaster, PA 17602-2250 — (717) 544-5511

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-12303 (NC)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 0010-12303 (NC)

Record details

NPI number1225652787
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 1, 2020
Last updated in NPPESApril 27, 2023
Certification dateApril 27, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolPENNSYLVANIA STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated 2020 (6 years in practice)
Group practice Wakemed Specialists Group Llc — 869 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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